Comparative Analysis Of Nutritional Status And Food Diversification Level Of Tuberculosis Patients And Healthy Population In Rural

Objective Diet nutrition can affect the development and prognosis of tuberculosis, this article analyzes the hemoglobin and lipid levels of TB patients in one region to understand the TB patients nutritional status in one region, surveys the dietary nutrients intake condition of TB patients in order to provide a reasonable scientific basis for diet nutritional guidance and health promotion to the tuberculosis patients.Methods1349patients with tuberculosis in rural areas was selected as the case group,1349normal people as the control group, two groups were well matched, the average age, gender ratio, lifestyle and the family conditions were similar. The laboratory drawed fasting venous blood to determinate hemoglobin, triglyceride, total cholesterol and high density lipoprotein; Furthermore,1955patients with tuberculosis in rural areas was selected as the case group,1955normal people as the control group, use the investigation of dietary frequency to collect the consumption of food types and the recall method of24-hour food intake to collected the dietary intake.Results The average level of the hemoglobin of the case group131.44g/L, was significantly lower than the control group,133.47g/L(p<0.05). Case group triglyceride average1.3lmmol/L, was significantly lower than the control group1.39mmol/L(p<0.05), case group high-triglycerides rate of2.59%was significantly lower than4.15%of the control group(p<0.05). the average total cholesterol of the case group4.45mmol/L, was significantly lower than the control group4.68mmol/h(p<0.05). High-density lipoprotein levels between the two groups was no significant difference, but the low high-density lipoprotein rate of the case group13.49%was significantly higher than the control group10.30%(p<0.05).Dietary survey showed that, the daily energy and protein intakes of TB patients were1712kcal and65.73g, only71.33%and87.64%of the Recommended Nutrient Intakes, and significantly lower than the healthy control group population1855kcal (p<0.01) and70.36g (p<0.01); some of the daily intake of vitamins and minerals were clearly inadequate, the intake of retinol and calcium in TB patients were only320.59μg retinol equivalent and295.69mg, only40.08%and36.96%of the Recommended Nutrient Intakes, and were significantly lower than the average levels of the control group (p<0.01). Dietary Diversity (9kinds of food) Score (DDS) showed that two groups DDS are6.31, the daily diet can maintain7or more kinds of food composition ratio in cases and control groups, respectively, up to52.94%and49.16%; However,5.78%of TB patients got3points, which mean the types of food only three categories, significantly higher than control group population2.66%(p<0.05),2.10%of TB patients scored only2points, also significantly higher than control group population1.18%(p<0.05), indicated that the diet of TB patients was monotonous. Types of food consumption showed that food to TB patients was cereal-based, more than90%, fish and shrimp and milk consumption was low, only23.38%and37.08%; the same problem also existed in the control group population.Conclusion The nutritional status of TB patients were infirmity overall, their nutritional status needs to be improved; energy and retinol and calcium intake are low in TB patients and healthy people, this situation is more prominent for TB patients, and dietary imbalances related; diet structure should be improved for TB patients.